dental anaestetic

[sara34]

I suffered damage to a tooth which resulted in a breakage which at the time I swallowed.  My dentist carried out a massive filling but I then went onto have severe pain and a smell everytime I breathed in through my nose.A new dentist said that the tooth should of been removed and prescribed anti-biotics.  The smell still hasnt gone which is worrying, and when I blow my nose some really green phlemn results(which doesnt come up by coughing).  A dentist tried to pull the tooth without success so I need to be referred for hospital extraction.  The thing that troubles me is that since having my last child when injected with anaestetic only my gum and cheeks numb,and when an attempt to remove the tooth is made,severe pain is felt inside the jaw and upwards.  Can anyone explain why this happens. Also even after multi injections to try to numb the area the sensation only ever lasts 1 hour 30 mins tops,which my dentist said should take 5-6 hours.

[Jerome Tsang, DDS]

Did they remove the offending tooth?  How soon did they remove the tooth since you started the antibiotics?

Sometimes with infections, because of the acids that the bacteria makes, it can neutralize the local anesthetic.  The anesthetic is a basic solution.  Also, when a patient is in pain, the body releases signals that creates more sensitivity to pain and it makes the body more prone to pain.

Sometimes I've used plenty of anesthetic with very little numbness for an extraction due to severe infection.  This was at the hospital I was a resident in.  For those cases, sometimes you can't work at all and prescribe antibiotics and pain medication to help ease the infection and attempt to remove/treat the bad tooth later.

I'm not sure whats causing your phelgm when you blow your nose though.  

[Jerome Tsang, DDS]

Good to hear.  I'm glad that you're not in too much pain or discomfort until treatment can be done.  

Sometimes it can be definitely the anxiety and fear which causes difficulty in providing treatment.  But the area may be numb, its just that with your anxiety and fear, it can make it an extremely difficult experience.  I'm glad that you're getting sedation to help with this.

[sara34]

Thanks for that.  However,except for the tooth I have listed I have no other problems.  I visit my dentist 3 times a year,by my own choice and I brush twice aday,use a mouthwash recommended by my dentist and floss.  My diet and lifestyle is good and I don't smoke or drink alcohol.

[steave]

Dental  Bacics


Easier - Care of your teeth includes following a good diet, cleaning your teeth after eating, and having regular dental checkups.
  
Harder - Most tooth decay and gum disease could be prevented if people gave proper care to their teeth and gums. Dentists recommend that (1) you eat well-balanced meals that include a variety of foods and provide the nutrients (nourishing substances) needed by your teeth and gums, (2) you clean your teeth by brushing after every meal and using dental floss once a day, and that (3) you have a dental checkup at least once a year.


you can learn more on--   http://www.myhealth-forum.com/

[sara34]

Thankyou for answering.  No, the tooth wasnt removed because of the pain I was in when removal was attempted.  It was two weeks after anti-biotics were given that the attempt to remove was carried out.  I have to wait for a hospital referral now,  for which they intend to sedate me.  The tooth has turned black now and I feel pressure whenever I bite down, but no pain.  My dentist said that that anesthetic not numbing the complete area was due to me being tense and that it was my head taking over.